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1 | | AN ACT concerning public aid. |
2 | | Be it enacted by the People of the State of Illinois, |
3 | | represented in the General Assembly: |
4 | | Section 5. The Illinois Public Aid Code is amended by |
5 | | adding Section 12-4.59 as follows: |
6 | | (305 ILCS 5/12-4.59 new) |
7 | | Sec. 12-4.59. Informational guide on Medicaid 5-year |
8 | | look-back period. |
9 | | (a) Informational guide. On and after July 1, 2025, the |
10 | | Department of Healthcare and Family Services shall develop, |
11 | | post, and maintain on its official website a comprehensive |
12 | | informational guide that explains the Medicaid 5-year |
13 | | look-back period as it applies to eligibility for long-term |
14 | | care coverage under the medical assistance program established |
15 | | under Article V of this Code. The contents of the |
16 | | informational guide must include the following: |
17 | | (1) Overview of the Medicaid 5-year look-back period: |
18 | | A detailed explanation of the 5-year look-back period, |
19 | | including its purpose and relevance to eligibility for |
20 | | medical assistance. |
21 | | (2) Eligibility criteria affected by the Medicaid |
22 | | 5-year look-back period: Clear information on how the |
23 | | 5-year look-back period affects eligibility criteria, |
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1 | | including income and asset requirements. |
2 | | (3) Calculation of the Medicaid 5-year look-back |
3 | | period: Step-by-step guidance on how the 5-year look-back |
4 | | period is calculated, including the start date and end |
5 | | date considerations. |
6 | | (4) Examples and scenarios: Real-life examples and |
7 | | scenarios illustrating how the 5-year look-back period |
8 | | applies in different situations, providing practical |
9 | | insights for the public. The guide must include a |
10 | | calculator that allows a user to enter the transfer dates |
11 | | and monetary value of any assets the user transferred |
12 | | during the 5-year look back period in order to estimate |
13 | | the earliest date upon which the user may qualify for |
14 | | medical assistance for long-term care services. |
15 | | (5) Transfers or gifts during the Medicaid 5-year |
16 | | look-back period: Explanation of the consequences and |
17 | | implications of transfers or gifts made during the 5-year |
18 | | look-back period, emphasizing the impact on eligibility |
19 | | and potential penalties. |
20 | | (6) Exceptions and exemptions: Information on |
21 | | exceptions and exemptions to the 5-year look-back period, |
22 | | clarifying circumstances where certain transfers or assets |
23 | | may not be subject to scrutiny. |
24 | | (7) Documentation requirements: Guidance on the |
25 | | documentation individuals may need to provide or maintain |
26 | | to demonstrate compliance with the 5-year look-back |
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1 | | period. |
2 | | (8) Planning for eligibility: Tips and considerations |
3 | | for individuals and families on how to plan for |
4 | | eligibility for medical assistance under Article V of this |
5 | | Code, taking into account the 5-year look-back period. |
6 | | (9) Appeals and dispute resolution: Information on the |
7 | | process for appeals and dispute resolution related to |
8 | | decisions made based on the 5-year look-back period. |
9 | | (10) Contact information and resources: Clear and |
10 | | accessible contact information for the Department of |
11 | | Healthcare and Family Services, as well as a listing of |
12 | | additional resources or agencies that individuals can |
13 | | reach out to for assistance or further clarification. |
14 | | (11) Frequently asked questions: A "Frequently Asked |
15 | | Questions" section that lists common questions and |
16 | | concerns related to the 5-year look-back period and |
17 | | provides a quick reference for users. |
18 | | (b) Accessibility of the guide. To ensure user-friendly |
19 | | navigation and visibility, the Department of Healthcare and |
20 | | Family Services shall post on its official website detailed |
21 | | information on how users can easily access the comprehensive |
22 | | guide on the website and a hyperlink that directs users to the |
23 | | comprehensive guide. |